v3.25.1
Revenue Recognition and Accounts Receivable Variable Consideration (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Revenue from Contract with Customer [Abstract]    
Gross sales $ 5,570.2 $ 6,174.6
Chargebacks (1,158.0) (1,244.2)
Rebates, promotional programs and other sales allowances (970.6) (1,048.3)
Returns (54.3) (60.3)
Medicaid and other governmental rebates (144.1) (168.3)
Sales Revenue, Gross to net adjustments (2,327.0) (2,521.1)
Net sales $ 3,243.2 $ 3,653.5